charityelaine
Contributor
Ok, here's the scenario I need help with:
Physician did a LHC and stented the RC due to MI w/ post-infarct angina.
"A few hours later, the patient had recurrence of severe pain of the similar nature so he was advised to undergo repeat imaging to rule out stent thrombosis."
".....Proximal to the stent, there was tubular stenosis which was about 60%, appeared to be slightly worse w/ possible spasm & imaging of uptake......"
Decision was made to place a bare metal stent proximally to the RC stent previously placed.
My question is...can we bill for the second stent placement since the patient had to come back to the cath lab at a different time in the same day or would it be considered "complimentary" (if you will)? I know that Medicare states only one stent per vessel can be charged for (92980).
PLEASE HELP!!! Thanks.
Charity
Physician did a LHC and stented the RC due to MI w/ post-infarct angina.
"A few hours later, the patient had recurrence of severe pain of the similar nature so he was advised to undergo repeat imaging to rule out stent thrombosis."
".....Proximal to the stent, there was tubular stenosis which was about 60%, appeared to be slightly worse w/ possible spasm & imaging of uptake......"
Decision was made to place a bare metal stent proximally to the RC stent previously placed.
My question is...can we bill for the second stent placement since the patient had to come back to the cath lab at a different time in the same day or would it be considered "complimentary" (if you will)? I know that Medicare states only one stent per vessel can be charged for (92980).
PLEASE HELP!!! Thanks.
Charity
